MARK S FISHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

FISHER

Suffix

Business Name

MARK S FISHER MD

Original Issue Date

02/03/1982

Effective Date

08/04/2017

Expiration Date

09/30/2020

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021